Healthcare Provider Details

I. General information

NPI: 1295730224
Provider Name (Legal Business Name): THOMAS BRADFORD LEMAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SGT PRENTISS DR SUITE 204, NATCHEZ REGIONAL MEDICAL OFFICE BUILDING
NATCHEZ MS
39120-4792
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 601-653-4927
  • Fax: 601-897-0542
Mailing address:
  • Phone: 225-767-3900
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number15342
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number08005
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberC-7116
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number15342
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: